Complex labial anatomy with multiple folds and asymmetry can be very challenging. Performing a Barbie Look Labiaplasty and Clitoral Hood Reduction can simplify the decision making since your goal is remove the majority of the labia and lateral clitoral hood. If the patient has adequate labia majora then a Barbie Look Labiaplasty is often the easiest and most visually appearing procedure to pursue. This Core video shows the labial surgery and the decision making process on where to put the A incisions. Medial and Lateral A Incisions can be done on the same patient and depends on patient anatomy.